<form name="form1" method="post" action="">
  <table width="100%" cellpadding="3">
    <tr>
      <td>Your JPO ID </td>
      <td><input type="text" name="textfield"></td>
    </tr>
    <tr>
      <td>Current Password </td>
      <td><input type="text" name="textfield2"></td>
    </tr>
    <tr>
      <td>New password </td>
      <td><input type="text" name="textfield3"></td>
    </tr>
    <tr>
      <td>Confirm new password </td>
      <td><input type="text" name="textfield4"></td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td><input type="submit" name="Submit" value="Submit"></td>
    </tr>
  </table>
</form>
